Coexistence of risk factors for cardiovascular diseases among Brazilian adolescents: Individual characteristics and school environment.

Cardiovascular diseases (CVD) share common and modifiable risk factors; among them, unhealthy eating, physical inactivity, alcohol intake and smoking habit. However, these factors are not observed in separate and, most often, they influence each other. Risk factors established during adolescence are...

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Autores principales:	Thales Philipe Rodrigues da Silva, Fernanda Penido Matozinhos, Lucia Helena Almeida Gratão, Luana Lara Rocha, Luisa Arantes Vilela, Tatiana Resende Prado Rangel de Oliveira, Cristiane de Freitas Cunha, Larissa Loures Mendes
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/22997fc4538f41ef82391f7cddc12bbb
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spelling	oai:doaj.org-article:22997fc4538f41ef82391f7cddc12bbb2021-12-02T20:06:49ZCoexistence of risk factors for cardiovascular diseases among Brazilian adolescents: Individual characteristics and school environment.1932-620310.1371/journal.pone.0254838https://doaj.org/article/22997fc4538f41ef82391f7cddc12bbb2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254838https://doaj.org/toc/1932-6203Cardiovascular diseases (CVD) share common and modifiable risk factors; among them, unhealthy eating, physical inactivity, alcohol intake and smoking habit. However, these factors are not observed in separate and, most often, they influence each other. Risk factors established during adolescence are highly likely to remain in adult life. The aims of the current study were to evaluate the prevalence and coexistence of risk factors for CVD, as well as to investigate individual characteristic of the adolescent and environmental factors associated with risk factors' coexistence profiles. This was a cross-sectional, national, school-based epidemiological study that estimated the prevalence of cardiovascular risk factors and metabolic syndrome in adolescents aged 12 to 17 years who attended public and private schools located in Brazilian counties with a population of more than 100 thousand. For this study, thematic blocks referring to alcohol consumption, eating habits, smoking, and physical activity were used. The grade of membership method was used to identify the coexistence of risk and protective factors for CVD among adolescents. The study analytical sample comprised 71,552 adolescents. Multilevel logistic regression was used to assess the association between factors influencing the coexistence profile of risk factors for CVD. Based on adolescent-level variables, has shown that meeting positive criterion for Common Mental Disorders and not consuming the meals provided by the school have significantly increased the likelihood of belonging to the CVD-risk profile. On the other hand, school-level variables, show that studying in private schools and living in economically favored Brazilian regions have increased adolescents' likelihood of belonging to the CVD-risk profile. These results can be used to substantiate the inclusion of food environment variables in public policies focused on preventing CVD development among Brazilian adolescents.Thales Philipe Rodrigues da SilvaFernanda Penido MatozinhosLucia Helena Almeida GratãoLuana Lara RochaLuisa Arantes VilelaTatiana Resende Prado Rangel de OliveiraCristiane de Freitas CunhaLarissa Loures MendesPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254838 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Thales Philipe Rodrigues da Silva Fernanda Penido Matozinhos Lucia Helena Almeida Gratão Luana Lara Rocha Luisa Arantes Vilela Tatiana Resende Prado Rangel de Oliveira Cristiane de Freitas Cunha Larissa Loures Mendes Coexistence of risk factors for cardiovascular diseases among Brazilian adolescents: Individual characteristics and school environment.
description	Cardiovascular diseases (CVD) share common and modifiable risk factors; among them, unhealthy eating, physical inactivity, alcohol intake and smoking habit. However, these factors are not observed in separate and, most often, they influence each other. Risk factors established during adolescence are highly likely to remain in adult life. The aims of the current study were to evaluate the prevalence and coexistence of risk factors for CVD, as well as to investigate individual characteristic of the adolescent and environmental factors associated with risk factors' coexistence profiles. This was a cross-sectional, national, school-based epidemiological study that estimated the prevalence of cardiovascular risk factors and metabolic syndrome in adolescents aged 12 to 17 years who attended public and private schools located in Brazilian counties with a population of more than 100 thousand. For this study, thematic blocks referring to alcohol consumption, eating habits, smoking, and physical activity were used. The grade of membership method was used to identify the coexistence of risk and protective factors for CVD among adolescents. The study analytical sample comprised 71,552 adolescents. Multilevel logistic regression was used to assess the association between factors influencing the coexistence profile of risk factors for CVD. Based on adolescent-level variables, has shown that meeting positive criterion for Common Mental Disorders and not consuming the meals provided by the school have significantly increased the likelihood of belonging to the CVD-risk profile. On the other hand, school-level variables, show that studying in private schools and living in economically favored Brazilian regions have increased adolescents' likelihood of belonging to the CVD-risk profile. These results can be used to substantiate the inclusion of food environment variables in public policies focused on preventing CVD development among Brazilian adolescents.
format	article
author	Thales Philipe Rodrigues da Silva Fernanda Penido Matozinhos Lucia Helena Almeida Gratão Luana Lara Rocha Luisa Arantes Vilela Tatiana Resende Prado Rangel de Oliveira Cristiane de Freitas Cunha Larissa Loures Mendes
author_facet	Thales Philipe Rodrigues da Silva Fernanda Penido Matozinhos Lucia Helena Almeida Gratão Luana Lara Rocha Luisa Arantes Vilela Tatiana Resende Prado Rangel de Oliveira Cristiane de Freitas Cunha Larissa Loures Mendes
author_sort	Thales Philipe Rodrigues da Silva
title	Coexistence of risk factors for cardiovascular diseases among Brazilian adolescents: Individual characteristics and school environment.
title_short	Coexistence of risk factors for cardiovascular diseases among Brazilian adolescents: Individual characteristics and school environment.
title_full	Coexistence of risk factors for cardiovascular diseases among Brazilian adolescents: Individual characteristics and school environment.
title_fullStr	Coexistence of risk factors for cardiovascular diseases among Brazilian adolescents: Individual characteristics and school environment.
title_full_unstemmed	Coexistence of risk factors for cardiovascular diseases among Brazilian adolescents: Individual characteristics and school environment.
title_sort	coexistence of risk factors for cardiovascular diseases among brazilian adolescents: individual characteristics and school environment.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/22997fc4538f41ef82391f7cddc12bbb
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Coexistence of risk factors for cardiovascular diseases among Brazilian adolescents: Individual characteristics and school environment.

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